MBAGA S WALUSIMBI (NPI# 1295791275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295791275 |
| Entity Type | Individual |
| Full Name | MBAGA S WALUSIMBI |
| Credential | MD |
| Practice Address |
30 East Apple Street Suite 5253 Dayton OH 45409 |
| Mailing Address |
725 University Blvd Dayton OH 45435-0001 |
| Practice Telephone | 9372082552 |
| Practice Fax Number | 9372086154 |
| Mailing Telephone | 9372457100 |
| Mailing Fax Number | 9372457999 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 35084491 | OH | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
35.084491 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2483594 | 05 |
| Street Address |
30 EAST APPLE STREET SUITE 5253 |
| City | DAYTON |
| State | OH |
| Zip Code | 45409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447216437 | Alexander G Little IIi | Surgery | 30 East Apple Street, Suite 5253, Dayton, OH 45409 | 2006-04-26 |
| 1043318801 | Urology Associates of Dayton, Inc. | Urology | 30 East Apple Street, Suite 5258, Dayton, OH 45409-2939 | 2006-09-20 |
| 1063478022 | Akpofure P Ekeh | Surgery | 30 East Apple Street, Suite 5253, Dayton, OH 45409 | 2006-04-26 |
| 1013973098 | Randy J Woods | Surgery | 30 East Apple Street, Suite 5253, Dayton, OH 45409 | 2006-04-26 |
| 1184680183 | Mary C Mccarthy | Surgery | 30 East Apple Street, Suite 5253, Dayton, OH 45409 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598717308 | Health Specialists of Dayton Inc | Surgery | 3535 Salem Ave, Ste 201, Dayton, OH 45406-2645 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003178427 | Andrew Loudon | Surgery | 395 W 12th Ave Ste 634, Columbus, OH 43210 | 2012-06-12 |
| 1306070867 | Robert Edward Falcone | Surgery | 150 E Lafayette St, Columbus, OH 43215-2948 | 2009-05-12 |
| 1720277494 | Amy Marie Jarvis | Surgery | 1 Akron General Ave Ste 359, Akron, OH 44307-2432 | 2007-10-18 |
| 1407811862 | William F Fallon | Surgery | 550 E Market St, Suite 103, Akron, OH 44304-1613 | 2006-04-19 |
| 1114586641 | Katharine Tavani | Surgery | 1 Perkins Sq, Akron, OH 44308-1063 | 2019-06-09 |
| 1902294556 | Victor Dizon, D.o., Facos, Inc | Surgery | 793 W State St, Columbus, OH 43222-1551 | 2015-01-06 |
| 1972865350 | Kevin Vincent Schrand | Surgery | 234 Goodman St, Cincinnati, OH 45219-2364 | 2012-06-12 |
| 1255613659 | Alliance Physician Inc | Surgery | 3535 Southern Blvd, Suite A, Kettering, OH 45429-1221 | 2011-09-13 |
| 1174803282 | Esther Tseng | Surgery | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2011-08-19 |
| 1619137601 | Urmil B Pandya | Surgery | 111 S Grant Ave, Trauma Services, Columbus, OH 43215-4701 | 2008-06-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.